Individual
JOHN RUSSELL YANCEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8683 E LINCOLN AVE STE 130, LONE TREE, CO 80124-9812
(317) 459-0738
Mailing address
12548 N 4TH ST, PARKER, CO 80134-9458
(317) 459-0738
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8020326-9924
UT
1223D0004X
Dental Anesthesiology
Primary
DEN.00203857
CO
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
04/20/2011
Last updated
09/11/2025
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